Ultrasound and CT evaluation on thyroid cancer invasion of peripheral structures
10.13929/j.issn.1003-3289.2025.05.007
- VernacularTitle:超声及CT评估甲状腺癌侵及周围结构
- Author:
Feifan BAO
1
;
Minxia HU
;
Qinggang XU
;
Hanxue ZHAO
Author Information
1. 首都医科大学附属北京同仁医院超声诊断科,北京 100730
- Publication Type:Journal Article
- Keywords:
thyroid neoplasms;
ultrasonography;
tomography,X-ray computed
- From:
Chinese Journal of Medical Imaging Technology
2025;41(5):729-732
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the value of ultrasound,CT and the combination for evaluating thyroid cancer(TC)involved peripheral structures.Methods Totally 102 patients with advanced TC were enrolled,and the value of ultrasound and CT for evaluating TC involved peripheral structures were analyzed taken post resection pathology as gold standards.Results The ultrasonic detection rate of TC involved laryngeal recurrent nerve and strap muscle was 47.37％(18/38)and 72.73％(24/33),while the CT detection rate was 15.79％(6/38)and 39.39％(13/33),respectively,the formers were better than the latters(both P＜0.05).Ultrasound had high sensitivity(88.24％),specificity(97.06％),and accuracy(94.12％)for diagnosing TC involved trachea,also had fair sensitivity(72.73％,72.73％),high specificity(96.70％,97.10％)and accuracy(94.12％,89.22％)for diagnosing TC involved thyroid cartilage and strap muscle.CT had high sensitivity(90.91％),specificity(92.31％)and accuracy(92.16％)for diagnosing TC involved thyroid cartilage,while had fair sensitivity(50.00％—76.47％)and high specificity(82.35％—88.46％)for diagnosing TC involved trachea,esophagus and blood vessels.The sensitivity and accuracy of combination of ultrasound and CT for evaluating TC involved peripheral structures were both higher than of each single method alone.Conclusion Combination of ultrasound and CT was valuable for evaluating TC involved peripheral structures.
